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Service Representative jobs at Zelis

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  • Payee Service Representative

    Zelis 4.5company rating

    Service representative job at Zelis

    At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Zelis Payments Payee Service Representative is part of an upbeat and caring team responsible for addressing issues or concerns from our clients related to our products and processes. Our best Payee Service Representatives are super reliable, love helping people, and are great at solving problems. This team also serves as a talent pipeline for all Zelis, so it can be a great place to kickstart your career. We have potential paths into client support, management, and more. Don't worry if you don't have previous call center experience, we are happy to teach you! What You'll Do: Handle incoming calls from our provider clients to answer questions regarding their payments and enrollment Work to resolve any outstanding issues related to their payments including explaining the use of our electronic payment options (credit cards, direct electronic funds transfer) Assist providers in signing up for direct electronic funds transfer products as well as assisting with the registration process, online web portal set-up and provider portal guidance including basic troubleshooting. Navigate Zelis platforms and processes efficiently with the goal of providing quick and thorough responses to our clients with first call resolution. Build and maintain a thorough knowledge of Zelis Payments products and solutions. Build and maintain a thorough knowledge of company policies and procedures, especially related to provider privacy. Maintaining scheduled adherence and remaining productive throughout your given shift. Ability to consistently meet monthly stat expectations and attendance goals. Maintain and display a positive attitude. What You'll Bring to Zelis: Passion for customer service and helping people Excellent telephone etiquette and verbal communication skills Proficiency in problem-solving and basic troubleshooting Computer proficiency and technical aptitude Attention to detail Consistent and reliable Comfort with MS Office applications such as Word, Excel, PowerPoint, etc. Demonstrated resilience and resourcefulness in customer service situations To excel in a remote work environment, it is essential to have a dedicated and well-equipped workspace. This includes a quiet and professional environment and a stable internet connection. You will be responsible for maintaining your remote workstation in compliance with company guidelines. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $17.75 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.
    $17.8 hourly Auto-Apply 24d ago
  • BJC Independence Center - Psych Rehab Specialist III

    BJC Healthcare 4.6company rating

    Saint Louis, MO jobs

    Additional Information About the Role BJC Independence Center (IC) is an internationally recognized, community-based behavioral health organization for adults in St Louis living with a mental illness. Our mission is to provide all the services and resources a person living with a serious and persistent mental illness needs, to manage their symptoms, find belonging and purpose, and gain the independence to live a healthy, quality life. Since 1981, IC has offered a comprehensive system of programs and services including housing, case management, psychiatric care, employment and vocational support, wellness and social opportunities. Our programs create a restorative environment that includes the support of others who are in recovery and access to targeted resources that equip them to initiate and sustain the healthy behaviors necessary to live and work independently in the community. If, like us, you believe that every person has the right to a meaningful, caring and challenging community, then we have a career for you at Independence Center. Please use the link below to learn more about this extraordinary club house! ************************************* Shift Hours: Monday - Friday 8 AM - 4 PM, plus one unusual shift once a month either Thursday 10 AM - 6 PM or Saturday 10 AM - 2 PM Holiday requirement: You are required to be a part of the holiday rotation, these are based on the specialized programs that the Independence Center hosts for members. Christmas or Thanksgiving are the larger holidays where you would be asked to work from 10 AM - 2 PM Job Responsibilities: You will work on 3 different units within the Independence Center working side by side with other members of different educational backgrounds. The Members of the Independence Center are Adults living with a serious and persistent mental illness Overview BJC Behavioral Health is a community health center that provides and coordinates behavioral health services for more than 8,000 seriously mentally ill adults and seriously emotionally disturbed children in St. Louis City, St. Louis County, St. Francois, Iron and Washington counties. As an Administrative Agent of the Missouri Department of Mental Health (DMH), BJC Behavioral Health serves as a major point of entry for people eligible for mental health services funded by DMH and is responsible for serving as gatekeeper to the public mental health system. Preferred Qualifications Role Purpose The Psych Rehab Specialist III is responsible for providing psycho-social rehabilitation services, based on the evidence-based Clubhouse Model approach to recovery for people living with serious and persistent mental illness. This position provides a restorative environment for people whose lives have been severely disrupted because of their mental illness, and who need the support of others who are in recovery. This position provides opportunities for friendship, employment, housing, education, and access to medical and psychiatric services in a single caring and safe environment while reducing suicide, hospitalization and incarceration rates associated with mental illness. Responsibilities Work Ordered Day: Provides Clubhouse services, by applying the International Clubhouse Standards; identifies members' strengths and talents, utilize those talents by building genuine relationships and engaging members in meaningful work opportunities that result in improved self-confidence, sense of purpose, and self-worth, that lead to positive outcomes including but not limited to employment, education, housing, social, legal, substance abuse, health and wellness, and overall improved quality of life. Employment: Provides members with opportunities to obtain paid employment in the local labor market through Transitional and Supported Employment; manages transitional employment positions at places of business in the community; develops and maintains employer relationships; trains and supports members on job site and provide around the job supports to assist with goal achievement. Outreach, Advocacy, and Crisis Intervention: Provides phone and mobile outreach to members who are not participating to re-engage in services; supports members with identifying and accessing resources, including social security benefits, food stamps, housing subsidies, Medicaid, etc.; supports members through crisis situations by identifying the seriousness of the problem, accessing needed services, assisting with hospitalization, coordinating with other service providers and family when appropriate, and ensuring follow-up. Documentation: Follows Department of Mental Health and Medicaid guidelines, assists members in creating and updating a treatment plan, completes weekly progress notes based on goals in the treatment plan, collaboratively when possible, and partners with members to achieve their individualized goals. Provides mentoring and job shadowing to Clubhouse colleagues. Minimum Requirements Education Master's Degree - Human Services or related Experience Licenses & Certifications Valid Driver's License Preferred Requirements Experience 2-5 years Supervisor Experience No Experience Licenses & Certifications Class E Driver's License in MO Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
    $28k-32k yearly est. 5d ago
  • Nurse Residency Professional Development & Retention Specialist - Augusta, GA

    Wellstar Health System 4.6company rating

    Augusta, GA jobs

    remote type OnsitelocationsWellstar MCG Healthtime type Full timeposted on Posted 5 Days Agojob requisition id JR-56893 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: The Nurse Residency Program (NRP) Nurse Residency Professional Development & Retention Specialist uses personal expertise, additional subject matter experts from within the system and, when appropriate and feasible, external presenters to meet the educational needs of team members across Wellstar Health Systems. The specialist serves as a resource person and role model for New Grad Nurses and creates a direct connection between individual facility and system educational efforts. He/she promotes evidenced based practice in the integration of Patient-Centered Care practices and guiding principles, and promotes the vision, values and philosophy of Wellstar Health Systems. This individual seeks to influence the professional role, competence, and growth of nurses in a variety of settings, and supports lifelong learning of nurses by fostering an appropriate climate for the adult learning process. He/she assumes a leadership role, provides guidance and knowledge to facilitate professional growth in others, and advances the nursing profession and Nurse Residency Program (NRP). The person in this role will develop and implement programs and services to support nurses and patient care and evaluate strategies to assure attainment of operational and strategic goals in collaboration with nursing leadership and key stakeholders. They will collect and assemble required data for residency related projects and maintain all records necessary to verify successful completion of residency program. He/she will establish relationships with student nurses, new grad nurses, preceptors, unit leadership, and academic partners to gather and analyze system needs and assess available resources and enact optimal solutions upon consultation and collaboration with key stakeholders. The person in this role will provide additional support to unit-based leadership, nurse externs, preceptors, new grad RN residents, and department committees as assigned. The Nurse Residency Professional Development & Retention Specialist naturally acts as a transition to practice manager formally or informally by providing an essential stabilizing presence and beneficial interventions for the pre and post licensure nurse to help bridge the expectation-reality gap. Within scope, he/she demonstrates the qualities inherent to nurse residency leadership, such as, educator, administrator, scholar, and evaluator during engagements with nurse externs and nurse residents. The learning environment may be the physical classroom, bedside, and simulation laboratory settings as well as the independent self-directed learning and virtual environments. The ideal candidate has knowledge and understanding of the ANCC scope and standards of the New Graduate Residency Program and the professional development educator/specialist including knowledge of laws, rules and regulations, standards and guidelines of certifying and accrediting bodies, hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment, team dynamics/building and strong interpersonal, written and communication skills. Core Responsibilities and Essential Functions: Knowledge, Skills and Abilities Required: Concise knowledge and understanding of clinical protocol, procedures, and standards within area of nursing practice and individual scope. Highly developed verbal and written communication skills and the ability to present effectively to small and large groups. Strong interpersonal skills and ability to work effectively at all levels in a collaborative team environment. Ability to plan, implement, and evaluate individual patient care programs. Mirroring the nursing process to assess educational needs, identifies issues and trends among the organization and learners, and then, works with all stakeholders to ascertain desired outcomes. Knowledge of related accreditation processes and certification requirements in area of specialty. Engagement in the NRP Accreditation process through the maintenance of program structure, goals, and accreditation standards. Identification of accreditation standard exemplars and supports the accreditation renewal process. Acts as a natural change agent within the organization with the potential to influence the community. Keen awareness of current healthcare issues, educational trends, and organizational factors which prompt the need for change within the program and enables him/her to devise solutions to program challenges. Consideration of safety, effectiveness, cost, and impact for learning activities and outcomes; human, financial, and materials resource allocation. Engages in ongoing quality improvement of nursing practice through utilization of the nursing process, current research, creativity, and skills. Encourages and supports nurse residents in the engagement of evidence-based practice process and utilization. Directly influences research utilization and attitudes toward research among nurse residents. Uses current evaluation methods involving patient narratives to determine learner-centered program. Involve learners and stakeholders using valid evaluation methods to measure attainment of outcomes. Collaboration with nursing leadership and Talent Acquisition teams in recruiting efforts of pre-licensure nursing students practicing within Wellstar Health System and through engagement outside Wellstar Health System. Partner with nursing leaders to identify and recruit experienced RNs capable of supporting the NRP as small group facilitators, mentors, and subject matter experts. Engage current and new nursing leaders in the NRP through ongoing updates, outcomes data, orientation to the program, and solicitation of feedback. Partner with system NRP leaders to communicate nurse resident and site-specific needs, updates, changes, outcomes, and initiatives. Observes and validates staff adherence to best practice: standard work, clinical care skills, polices, procedures and orders sets. Ability to assess educational needs of the NG and to design and develop appropriate learning tools to facilitate adult learning by integrating a variety of teaching methods. Assesses and implements interactive education techniques that provide opportunities for critical thinking, best practice utilization and competency validation. Review individuals competencies and jointly determine progression plan. Provides constructive feedback and coaching as needed to promote learning to achieve expected outcomes. Support the internationally educated RN in their transition to practice within a new cultural environment. Engage in leadership rounds with all nurse residents to support their transition to practice, well-being, and professional development, escalating concerns to appropriate leadership when necessary. Whether in class or during clinical rounds, assessing learning needs and validating clinical competence and program outcomes, while fostering a positive learning climate. Evaluate care team interaction and performance through precepted clinical and simulated experiences identify opportunities to improve and address real-time. Facilitates goal planning, evaluation, and weekly debriefing or as needed. Assist unit leaders with new grad (NG) RN orientation to new equipment and technology systems as appropriate and acts as a performance coach and mentor of the NG. Working knowledge of the use of established clinical and preceptorship models in the development of clinical education programs. Provides clinical preceptorship development by teaching critical reasoning strategies for nurse resident interactions. Administrative: Updates department leadership on employee progress & competencies. Partners with system Nurse Residency Program leaders to communicate nurse resident and site-specific needs, updates, changes, outcomes, and initiatives. Collaborates with key stakeholders to formulate effective orientation and onboarding programs. Assesses the competencies of new graduate RN staff, using clearly defined guidelines. Participate in facility hand-off and communicate ongoing needs to additional support staff. Professional Development Maintains proficient level with core clinical competencies including EMR documentation processes Compliant with all applicable WellStar Health System policies, procedures and job requirements Participates in training and development for Faculty role, formal and informal Identifies personal learning needs and acquires knowledge to ensure competency Evaluation of own practice via personal reflection and solicited feedback from learners, peers, and supervisors; establishes goals based on feedback Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct. Required Minimum Education: Bachelors Nursing Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated. RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact BLS - Basic Life Support or BLS-I - Basic Life Support - Instructor Required Minimum Experience: Minimum 2 years clinical nursing required and coordination/facilitation of multiple and varied activities Ability to work with diverse groups and multidisciplinary health professionals at all levels. Literate in various computer application skills Required Minimum Skills: Ability to proficiently read, write and speak the English language. Ability to provide professional written and verbal communication, group facilitation, educational planning and presentation. Ability to provide and receive constructive feedback that promotes learning. Must be self-motivated and self-directed with strong customer service, problem solving, interpersonal communication and conflict resolution skills. Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
    $25k-30k yearly est. 29d ago
  • Ambulatory Service Representative - Ambulatory Surgery Center

    Christus Health 4.6company rating

    San Antonio, TX jobs

    Skills, Experience, Qualifications, If you have the right match for this opportunity, then make sure to apply today. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment xevrcyc are obtained prior to patient visits Reviews and audits billing discrepancy reports and researches errors for resolution Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required Requirements: High School Diploma Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $32k-35k yearly est. 2d ago
  • Ambulatory Service Representative - Neurosurgery

    Christus Health 4.6company rating

    San Antonio, TX jobs

    Ensure all your application information is up to date and in order before applying for this opportunity. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and researches errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills 1+ year of customer service experience required Experience with medical office terminology preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $31k-35k yearly est. 2d ago
  • Ambulatory Service Representative - Pedi Neurology

    Christus Health 4.6company rating

    San Antonio, TX jobs

    Scroll down for a complete overview of what this job will require Are you the right candidate for this opportunity Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and researches errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multitask and work under stressful situation Effective written and verbal communication skills 1+ year of customer service experience required Experience with medical office terminology preferred Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time
    $31k-35k yearly est. 2d ago
  • Ambulatory Service Representative - Cardiovascular Surgery

    Christus Health 4.6company rating

    Lake Jackson, TX jobs

    Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and researches errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills 1+ year of customer service experience required Experience with medical office terminology preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $30k-35k yearly est. 2d ago
  • Patient Financial Services Representative-Thoracic Surgery-FT-Days-MPG

    Memorial Healthcare System 4.0company rating

    Hollywood, FL jobs

    At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary The Patient Financial Services Representative (PFSR) serves as the first point of contact in greeting patients and guarantors in the hospital, ambulatory or medical office setting. The PFSR engages with the patient or guarantor to obtain pertinent information and answer any questions in an effort to ensure that all required demographic, financial, and insurance eligibility information is gathered and verified. Ensures all required notices and consent forms are signed accordingly. Responsibilities Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner. May guide the patient to appropriate destination for services.Obtains pre-certification and authorization.Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active. Determines correct insurance filing order, if multiple insurance coverages are effective for that service.Explains polices including all regulatory and financial consent forms; secures all required signatures.May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.May confirm physician and prescription orders ensuring accuracy.May schedule walk-in appointments for services offered.Collects patient out-of-pocket responsibility per collection guidelines. Provides patient estimates as requested. Prepares and balances a daily deposit of all payment collections. Competencies ACCOUNTABILITY, ACCURACY & QUALITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, ORGANIZATION SKILLS, PATIENT AND FAMILY CENTERED CARE, PROBLEM SOLVING, PRODUCTIVITY, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK Education And Certification Requirements High School Diploma or Equivalent (Required) Additional Job Information Complexity of Work: Requires excellent communication skills, critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Ability to work and build relationships collaboratively. Required Work Experience: No experience required. One (1) year of related hospital, medical office, or customer service experience preferred. Other Information: In Memorial Physician Group (specialty practices), additional responsibilities include: (1) obtain specialty authorizations (2) authorization denial and peer to peer process (3) patient care navigation ex: surgical and procedural coordination and scheduling for patient specific populations (4) handle all incoming calls and physician and hospital back line (5) obtain and confirm referrals In the Hospital, additional responsibilities include: (1) Upon validation of patient identity, place identification band on patient (2) obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting (3) obtain authorizations for walk-in appointments (4) determine when financial assistance is needed.In Memorial Primary Care, additional responsibilities include: (1) MIH-MPC program patient referral, payment collection and eligibility scheduling (2) process referral work-ques and same day access requests (3) work with Patient Access Center on real time patient requests (4) address prescription refill requests, patient advice requests through MyChart, and provider scheduling template. Working Conditions And Physical Requirements Bending and Stooping = 60% Climbing = 0% Keyboard Entry = 100% Kneeling = 0% Lifting/Carrying Patients 35 Pounds or Greater = 60% Lifting or Carrying 0 - 25 lbs Non-Patient = 80% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 80% Pushing or Pulling 26 - 75 lbs Non-Patient = 80% Pushing or Pulling > 75 lbs Non-Patient = 0% Reaching = 80% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 80% Running = 0% Sitting = 80% Squatting = 80% Standing = 80% Walking = 80% Audible Speech = 80% Hearing Acuity = 80% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 80% Distinguish Color = 0% Seeing - Far = 80% Seeing - Near = 80% Bio hazardous Waste = 60% Biological Hazards - Respiratory = 60% Biological Hazards - Skin or Ingestion = 60% Blood and/or Bodily Fluids = 60% Communicable Diseases and/or Pathogens = 60% Asbestos = 0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 60% Hazardous Chemicals = 60% Hazardous Medication = 60% Latex = 60% Computer Monitor = 100% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 60% Potential Electric Shock = 0% Potential for Physical Assault = 40% Radiation = 0% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 40% Shift Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call ************ (M-F, 8am-5pm) or email *******************************
    $29k-39k yearly est. 2d ago
  • Ambulatory Service Representative - Specialty Neurosurgery

    Christus Health 4.6company rating

    Helotes, TX jobs

    Applying for this role is straight forward Scroll down and click on Apply to be considered for this position. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and research errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: Education/Skills High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills Experience 1+ year of customer service experience required Experience with medical office terminology preferred Licenses, Registrations, or Certifications None Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time
    $31k-35k yearly est. 2d ago
  • Ambulatory Service Representative - Cardiovascular Surgery

    Christus Health 4.6company rating

    New Braunfels, TX jobs

    Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and researches errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills 1+ year of customer service experience required Experience with medical office terminology preferred Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $31k-35k yearly est. 2d ago
  • Ambulatory Service Representative - Specialty Neurosurgery

    Christus Health 4.6company rating

    Randolph Air Force Base, TX jobs

    Applying for this role is straight forward Scroll down and click on Apply to be considered for this position. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc Verifies eligibility for procedures or tests from various health care institutions Reviews and audits billing discrepancy reports and research errors for resolution Maintains accurate and timely records, logs, charges, files, and other related information as required Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff Prepares special reports or spreadsheets for physicians as requested Complies with established departmental policies, procedures and objectives Complies with all health and safety regulations and requirements Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors Performs other duties as required. Requirements: Education/Skills High School Diploma or GED Proficient in software and computer systems Knowledgeable of business office terminology / procedures Ability to multi task and work under stressful situation Effective written and verbal communication skills Experience 1+ year of customer service experience required Experience with medical office terminology preferred Licenses, Registrations, or Certifications None Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time
    $31k-35k yearly est. 2d ago
  • Ambulatory Service Representative - Business Office

    Christus Health 4.6company rating

    Lake Jackson, TX jobs

    You can get further details about the nature of this opening, and what is expected from applicants, by reading the below. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for xevrcyc treatment are obtained prior to patient visits Reviews and audits billing discrepancy reports and researches errors for resolution Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required Requirements: High School Diploma Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $29k-34k yearly est. 2d ago
  • Ambulatory Service Representative - Business Office

    Christus Health 4.6company rating

    New Braunfels, TX jobs

    You can get further details about the nature of this opening, and what is expected from applicants, by reading the below. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for xevrcyc treatment are obtained prior to patient visits Reviews and audits billing discrepancy reports and researches errors for resolution Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required Requirements: High School Diploma Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $29k-34k yearly est. 2d ago
  • Member Services Specialist

    Christus Health 4.6company rating

    Irving, TX jobs

    Job Title: Member Services Specialist Shift: 9am to 5pm, Monday to Friday Schedule: 5 days a week - 40 hours Roles and Responsibilities: 2 years of customer service experience in healthcare, insurance, and call center environment. Must have excellent understanding of benefits, products, & other health care and/or insurance issues as they pertain to our customers (internal/external). Facilitates member & provider understand of the plan coverage and benefits by thoroughly researching inquiries in an efficient and professional manner Records all contact with customers, both verbal & written in the current MIS system Required to assist in training/re-training new and current employees Maintains accurate documentation of all telephone contact, walk-in customers, any mail inquiries by documenting to ensure a clear audit trail for reporting purposes Responsible for handling all incoming calls and the making of outgoing calls as needed in order to resolve any issues or questions Triage phone request to other areas such as Utilization Management and Provider Relations Handles incoming written correspondence in a timely and professional manner
    $30k-34k yearly est. 21h ago
  • Contact Center Specialist III

    Coxhealth 4.7company rating

    Springfield, MO jobs

    :The Contact Center Specialist III is responsible for managing interactions with consumers to ensure high level of customer service. Key responsibilities include answering consumer inquires, directing them to the appropriate department, centralized scheduling services for clinics, collecting appropriate patient information to hand off to clinical teams, and other duties related to ensure patients can easily access their provider(s). Education: Required: High school diploma or Equivalent Ready to apply Before you do, make sure to read all the details pertaining to this job in the description below. Experience: Required: 1 year customer service experience Required: 1 year competency completed in Contact Center Specialist II role or equivalent skills Preferred: 3+ year customer service experience, healthcare experience, and/or call center experience Skills: Outstanding written verbal communication skills Strong customer services skills that demonstrate empathy, kindness, safety, and compassion Problem solving skills to analyze and respond to consumer inquires Ability to work independently and as a member of a team Possess excellent time management skills Professional written and verbal communication skills Proficient in Microsoft Office Programs as well as healthcare xevrcyc related programs Ability to multi-task, manage call volume and prioritize patient needs Ability to make timely decisions and provide best possible outcome Understanding of medical terminology Collect and communicate clinical requests of patient to clinical teams Competency in required skills as a Contact Center Specialist II or equivalent skills Licensure/Certification/Registration: N/A
    $32k-37k yearly est. 2d ago
  • Contact Center Specialist II

    Coxhealth 4.7company rating

    Springfield, MO jobs

    :The Contact Center Specialist II is responsible for managing interactions with consumers to ensure high level of customer service. Candidates should take the time to read all the elements of this job advert carefully Please make your application promptly. Key responsibilities include answering consumer inquires, directing them to the appropriate department, centralized scheduling services for clinics, and other duties related to ensure patients can easily access their provider(s). Education: • Required: High school diploma or Equivalent Experience: • Required: 1-year customer service experience and/or competency completed in Contact Center Specialist I role for a minimum of 6 months or equivalent skills. • Preferred: 2+ year customer service experience, healthcare experience, and/or call center experience Skills: • Strong customer services skills that demonstrate empathy, kindness, safety, and compassion • Problem solving skills to analyze and respond to consumer inquires • Ability to work independently and as a member of a team • Possess excellent time management skills • Professional written and verbal communication skills xevrcyc • Proficient in Microsoft Office Programs as well as healthcare related programs • Ability to multi-task, manage call volume and prioritize patient needs • Ability to make timely decisions and provide best possible outcome • Competency in required skills as a Contact Center Specialist I or equivalent skills Licensure/Certification/Registration: N/A
    $32k-37k yearly est. 2d ago
  • Contact Center Specialist I

    Coxhealth 4.7company rating

    Springfield, MO jobs

    :The Contact Center Specialist at CoxHealth is responsible for conducting inbound and outbound calls in a consumer focused, appropriate and timely manner. Primary responsibilities include assisting patients in locating a CoxHealth providers who meets his/her needs, centralized patient scheduling services, class and event registration, telemedicine operational services, providing general information or direction as it relates to CoxHealth, and other duties as assigned. The Contact Center Specialist is the first point of contact for many patients and serves a critical role in establishing a great first impression.Education: Required: High school diploma or Equivalent If you think you are the right match for the following opportunity, apply after reading the complete description. Experience: Required: 1 year customer service experience xevrcyc Preferred: 2+ year customer service experience or Call Center experience Skills: Outstanding written verbal communication skills Proficient in Microsoft Office Programs Ability to multi-task Licensure/Certification/Registration: N/A
    $32k-37k yearly est. 2d ago
  • Contact Center Specialist II

    Coxhealth 4.7company rating

    Newburg, MO jobs

    :The Contact Center Specialist II is responsible for managing interactions with consumers to ensure high level of customer service. Candidates should take the time to read all the elements of this job advert carefully Please make your application promptly. Key responsibilities include answering consumer inquires, directing them to the appropriate department, centralized scheduling services for clinics, and other duties related to ensure patients can easily access their provider(s). Education: • Required: High school diploma or Equivalent Experience: • Required: 1-year customer service experience and/or competency completed in Contact Center Specialist I role for a minimum of 6 months or equivalent skills. • Preferred: 2+ year customer service experience, healthcare experience, and/or call center experience Skills: • Strong customer services skills that demonstrate empathy, kindness, safety, and compassion • Problem solving skills to analyze and respond to consumer inquires • Ability to work independently and as a member of a team • Possess excellent time management skills • Professional written and verbal communication skills xevrcyc • Proficient in Microsoft Office Programs as well as healthcare related programs • Ability to multi-task, manage call volume and prioritize patient needs • Ability to make timely decisions and provide best possible outcome • Competency in required skills as a Contact Center Specialist I or equivalent skills Licensure/Certification/Registration: N/A
    $33k-38k yearly est. 2d ago
  • Ambulatory Service Representative - Ambulatory Surgery Center

    Christus Health 4.6company rating

    Olmos Park, TX jobs

    Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits Reviews and audits billing discrepancy reports and researches errors for resolution Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required Requirements: High School Diploma Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $32k-35k yearly est. 5d ago
  • Ambulatory Service Representative - Ambulatory Surgery Center

    Christus Health 4.6company rating

    Kirby, TX jobs

    Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. Responsibilities: Receives and directs phone calls from patients and physician offices Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns Schedules urgent care appointments as needed and directed by physician Greets patients for scheduled and/or urgent care appointments and procedures Confirms and verifies patient demographic and insurance information Collect co-payments from patients upon arrival when applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits Reviews and audits billing discrepancy reports and researches errors for resolution Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required Requirements: High School Diploma Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $32k-35k yearly est. 5d ago

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